NPI: 1912507021
Provider Name: LUCID LANE PROVIDERS, P.C.
Doing Business As: LUCID LANE PROVIDERS, P.C.
Classification: Counselor - 101YM0800X
Entity Type: Organization
Specialization: Mental Health
Address:
3251 PLACE DU JARDIN
OPTIONAL
SAN JOSE, CA
ZIP 95148
Phone: (630) 589-2730
Get Directions
LUCID LANE PROVIDERS, P.C. is a mental health counselor in San Jose, CA. LUCID LANE PROVIDERS, P.C. NPI is 1912507021. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Lucid Lane Providers, P.c..
The provider's business location address is:
3251 PLACE DU JARDIN
OPTIONAL
SAN JOSE, CA
ZIP 95148-514
Phone: (630) 589-2730
The provider's authorized official is Mubeena Siddiqui .
The authorized official title is Director Of Rcm And Compliance and has the following contact phone number (630) 589-2730.
The enumeration date for this NPI number is 10/28/2020 and was last updated on 1/29/2021.